Common use of Enrollment and Disenrollment Processes Clause in Contracts

Enrollment and Disenrollment Processes. Eligible individuals will be notified of their right to select among contracted Demonstration Plans. No earlier than 90 days prior to October 1, 2013, eligible individuals will have the opportunity to opt into the Demonstration to begin receiving services on October 1, 2013. Beginning January 1, 2014 and on a monthly basis, if no active choice has been made, enrollment for eligible beneficiaries (as described above in C.1.) into a Demonstration Plan may be conducted using a seamless, Passive Enrollment process that provides the opportunity for Enrollees to make a voluntary choice to enroll or disenroll from the Demonstration Plan on a monthly basis. Enrollees will receive sufficient notice of and information on Passive Enrollment no fewer than 60 days prior to the effective date of enrollment, and will have the opportunity to opt out up until the last day of the month prior to the effective date of Enrollment, as further detailed in Appendix 7. Disenrollment from Demonstration Plans shall be allowed on a month-to-month basis any time during the year; however, coverage for these individuals will continue through the end of the month in which they disenroll. CMS and the State will monitor Enrollments and Disenrollments for both evaluation purposes and for the purpose of identifying any inappropriate or illegal marketing practices. As part of this analysis, CMS and the State will monitor any unusual shifts in Enrollment by individuals identified for Passive Enrollment into a particular Demonstration Plan to a Medicare Advantage plan operated by the same parent organization. If those shifts appear to be due to inappropriate or illegal marketing practices, CMS and the State may issue corrective action. Any illegal marketing practices will be referred to appropriate agencies for investigation. As mutually agreed upon, CMS and the State will utilize an independent, third party entity to facilitate enrollment into the Demonstration Plans. Demonstration Plan enrollments, including transfers between Demonstration Plans, and Disenrollments shall become effective on the same day for both Medicare and Medicaid, as discussed above and in greater detail in Appendix 7. For those who lose Medicaid eligibility during the month, coverage and FFP will continue through the end of that month. See Appendix 7 for a more detailed discussion on timing of Enrollments and Disenrollments.

Enrollment and Disenrollment Processes. Eligible individuals will be notified of their right to select among contracted Demonstration Plans. No earlier than 90 days prior to October 1, 2013, eligible individuals will have the opportunity to opt into the Demonstration to begin receiving services on October 1, 2013. Beginning January 1, 2014 and on a monthly basis, if no active choice has been madeUnder this Demonstration, enrollment for eligible beneficiaries (as described above in C.1.) into a Demonstration Plan MMIP may be conducted – when no active choice has otherwise been made – using a seamless, Passive Enrollment passive enrollment process that provides the opportunity for Enrollees beneficiaries to make a voluntary choice to enroll or disenroll from the Demonstration Plan on a monthly basisMMIP at any time. Enrollees Under passive enrollment, eligible individuals will receive sufficient notice be notified of plan selection and information on Passive Enrollment of their right to select among other contracted MMIPs no fewer than 60 sixty (60) days prior to the effective date of enrollment, and will have the opportunity to opt out up until the last day of the month prior to the effective date of Enrollmentenrollment, as further detailed in Appendix 7. If a choice to enroll in a MMIP is made by the second to the last business day of the month, enrollment will be effective the first calendar day of the following month. Disenrollment from Demonstration Plans MMIPs and enrollment from one MMIP to a different MMIP shall be allowed on a month-to-month basis any time during the year; however. All disenrollments will be effective the first day of the month after the choice is made. MMIP enrollments, including enrollment from one MMIP to a different MMIP, and opt-outs shall become effective on the same day for both Medicare and Medicaid (the first day of the following month). For those who lose Medicaid eligibility during the month, coverage for these individuals and FFP will continue through the end of the month in which they disenrollthat month. See Appendix 7 for a more detailed discussion on timing of enrollments and disenrollments. CMS and the State will monitor Enrollments enrollments and Disenrollments disenrollments for both evaluation purposes and for compliance with applicable marketing and enrollment laws, regulations and policies, for the purpose of identifying any inappropriate or illegal marketing practices. As part of this analysis, CMS and the State will monitor any unusual shifts in Enrollment enrollment by individuals identified for Passive Enrollment passive enrollment into a particular Demonstration Plan MMIP to a Medicare Advantage plan Plan operated by the same parent organization. If those shifts appear to be due to inappropriate or illegal marketing practices, CMS and the State may issue corrective action. Any illegal marketing practices will be referred to appropriate agencies for investigation. As mutually agreed upon, CMS and the State will utilize an independent, third party entity to facilitate enrollment into the Demonstration Plans. Demonstration Plan enrollments, including transfers between Demonstration Plans, and Disenrollments shall become effective on the same day for both Medicare and Medicaid, as discussed above and in greater detail in Appendix 7. For those who lose Medicaid eligibility during the month, coverage and FFP will continue through the end of that month. See Appendix 7 for a more detailed discussion on timing of Enrollments and Disenrollments.

Enrollment and Disenrollment Processes. The Demonstration will begin with an opt- in period during which the enrollment will only be among those individuals who choose to participate. Eligible individuals will be notified of their right to select among contracted Demonstration Plans. No earlier ICOs no fewer than 90 thirty (30) days prior to October 1, 2013, the first effective date of enrollment. For eligible individuals will have who do not participate in the opportunity opt-in period – either by choosing an ICO or expressing a preference not to opt into participate in the Demonstration to begin receiving services on October 1, 2013. Beginning January 1, 2014 and on a monthly basis, if no active choice has been made, – enrollment for eligible beneficiaries (as described above in C.1.) into a Demonstration Plan an ICO may be conducted using a seamless, Passive Enrollment process that provides the opportunity passive enrollment process. Individuals eligible for Enrollees to make a voluntary choice to enroll or disenroll from the Demonstration Plan on a monthly basis. Enrollees passive enrollment will receive sufficient notice of and information on Passive Enrollment be notified no fewer than 60 days prior to the enrollment effective date of plan assignment, the opportunity to choose among ICOs, choose not to participate in the Demonstration, or choose to disenroll from an ICO at any time after enrollment. Prior to the effective date of their enrollment, and beneficiaries who would be passively enrolled will have the opportunity to opt out up until the last day of the month prior month, and will receive sufficient notice and information with which to the effective date of Enrollmentdo so, as further detailed in Appendix 7. Disenrollment from Demonstration Plans ICOs and enrollment from one ICO to a different ICO shall be allowed on a month-to-month basis any time during the year; however, coverage for these individuals will continue through the end of the month in which they disenrollmonth. CMS and the State MDCH will monitor Enrollments enrollments and Disenrollments disenrollments for both evaluation purposes and for compliance with applicable marketing and enrollment laws, regulations, and CMS policies, for the purpose purposes of identifying any inappropriate or illegal marketing practices. As part of this analysis, CMS and the State MDCH will monitor any unusual shifts in Enrollment enrollment by individuals identified for Passive Enrollment passive enrollment into a particular Demonstration Plan ICO to a Medicare Advantage plan operated by the same parent organization. If those shifts appear to be due to inappropriate or illegal marketing practices, CMS and the State MDCH may issue corrective actiondiscontinue further passive enrollment into an ICO. Any illegal marketing practices will be referred to appropriate agencies for investigation. As mutually agreed upon, and as discussed further in Appendix 7 and the three-way contract, CMS and the State MDCH will utilize an independent, independent third party entity to facilitate enrollment all enrollments into the Demonstration PlansICOs. Demonstration Plan ICO enrollments, including transfers between Demonstration Plansenrollments from one ICO to a different ICO, and Disenrollments opt-outs shall become effective on the same day for both Medicare and Medicaid, as discussed above and in greater detail in Appendix 7Medicaid (the first day of the following month). For those who lose Medicaid eligibility during the month, coverage and FFP federal financial participation will continue through the end of that month. See Appendix 7 for a more detailed discussion on timing of Enrollments and Disenrollments.

Enrollment and Disenrollment Processes. Eligible Under passive enrollment, eligible individuals will be notified of their right to select among contracted Demonstration Plans. No earlier than 90 days prior to October 1, 2013, eligible individuals will have the opportunity to opt into the Demonstration to begin receiving services on October 1, 2013. Beginning January 1, 2014 and on a monthly basis, if no active choice has been made, enrollment for eligible beneficiaries (as described above in C.1.) into a Demonstration Plan may be conducted using a seamless, Passive Enrollment process that provides the opportunity for Enrollees to make a voluntary choice to enroll or disenroll from the Demonstration Plan on a monthly basis. Enrollees will receive sufficient notice of and information on Passive Enrollment Participating Plans no fewer than 60 sixty (60) days prior to the effective date of enrollment, and will have the opportunity to opt out up until the last day of the month prior to the effective date of Enrollmentenrollment. When no active choice has been made, enrollment into a Participating Plan may be conducted using a seamless, passive enrollment process that provides the opportunity for beneficiaries to make a voluntary choice to enroll or disenroll from the Participating Plan at any time. Prior to the effective date of their enrollment, individuals who would be passively enrolled will have the opportunity to opt out and will receive sufficient notice and information with which to do so, as further detailed in Appendix 7. Disenrollment from Demonstration Participating Plans and transfers between Participating Plans shall be allowed on a month-to-month basis any time during the year; however, coverage for these individuals will continue through the end of the month in which they disenrollmonth. CMS and the State DMAS will monitor Enrollments enrollments and Disenrollments disenrollments for both evaluation purposes and for compliance with applicable marketing and enrollment laws, regulations and CMS policies, for the purpose purposes of identifying any inappropriate or illegal marketing practices. As part of this analysis, CMS and the State DMAS will monitor any unusual shifts in Enrollment enrollment by individuals identified for Passive Enrollment passive enrollment into a particular Demonstration Participating Plan to a Medicare Advantage plan operated by the same parent organization. If those shifts appear to be due to inappropriate or illegal marketing practices, CMS and the State DMAS may issue corrective action. Any illegal marketing practices will be referred to appropriate agencies for investigation. As mutually agreed upon, and as discussed further in Appendix 7 and the three-way contract, CMS and the State DMAS will utilize an independent, independent third party entity to facilitate enrollment all enrollments into the Demonstration Participating Plans. Demonstration Participating Plan enrollments, including transfers between Demonstration Planstransfers, and Disenrollments opt-outs shall become effective on the same day for both Medicare and Medicaid, as discussed above and in greater detail in Appendix 7Medicaid (the first day of the following month). For those who lose Medicaid eligibility during the month, coverage and FFP Federal financial participation will continue through the end of that month. See Appendix 7 for a more detailed discussion on timing of Enrollments and Disenrollments.

Enrollment and Disenrollment Processes. Eligible individuals will be notified of their right to select among contracted Demonstration Plans. No earlier ICDS Plans no fewer than 90 sixty (60) days prior to October 1, 2013, eligible individuals will have the opportunity to opt into the Demonstration to begin receiving services on October 1, 2013effective date of enrollment. Beginning January 1, 2014 and on a monthly basis, if When no active choice has been made, enrollment for eligible beneficiaries (as described above in C.1.) into a Demonstration an ICDS Plan may be conducted using a seamless, Passive Enrollment passive enrollment process that provides the opportunity for Enrollees beneficiaries to make a voluntary choice to enroll or disenroll from the Demonstration ICDS Plan on a monthly basisat any time. Enrollees will receive sufficient notice of and information on Passive Enrollment no fewer than 60 days prior Prior to the effective date of their enrollment, and individuals who would be passively enrolled will have the opportunity to opt opt-out up until the last day of the month prior and will receive sufficient notice and information with which to the effective date of Enrollmentdo so, as further detailed in Appendix 7. Disenrollment from Demonstration ICDS Plans and transfers between ICDS Plans shall be allowed on a month-to-month basis any time during the year; however, coverage for these individuals will continue through the end of the month in which they disenrollmonth. CMS and the State will monitor Enrollments enrollments and Disenrollments disenrollments for both evaluation purposes and for compliance with applicable marketing and enrollment laws regulations and CMS policies, for the purpose purposes of identifying any inappropriate or illegal marketing practices. As part of this analysis, CMS and the State will monitor any unusual shifts in Enrollment enrollment by individuals identified for Passive Enrollment passive enrollment into a particular Demonstration Plan ICDS plan to a Medicare Advantage plan operated by the same parent organization. If those shifts appear to be due to inappropriate or illegal marketing practices, CMS and the State may issue corrective actiondiscontinue further passive enrollment into an ICDS plan. Any illegal marketing practices will be referred to appropriate agencies for investigation. As mutually agreed upon, and as discussed further in Appendix 7 and the three-way contract, CMS and the State will utilize an independent, independent third party entity to facilitate all enrollment into the Demonstration ICDS Plans. Demonstration ICDS Plan enrollments, including transfers between Demonstration Plans, and Disenrollments opt-outs shall become effective on the same day for both Medicare and Medicaid, as discussed above and in greater detail in Appendix 7Medicaid (the first day of the following month). For those who lose Medicaid eligibility during the month, coverage and FFP Federal financial participation will continue through the end of that month. See Appendix 7 for a more detailed discussion on timing of Enrollments and Disenrollments.

Enrollment and Disenrollment Processes. Eligible individuals will be notified of their right to select among contracted Demonstration Plans. No earlier than 90 days prior to October 1, 2013, eligible individuals will have the opportunity to opt into the Demonstration to begin receiving services on October 1, 2013. Beginning January 1, 2014 and on a monthly basis, if no active choice has been madeUnder this Demonstration, enrollment for eligible beneficiaries (as described above in C.1.) into a Demonstration Plan STAR+PLUS MMP may be conducted – when no active choice has otherwise been made – using a seamless, Passive Enrollment passive enrollment process that provides the opportunity for Enrollees beneficiaries to make a voluntary choice to enroll or disenroll from the Demonstration Plan on a monthly basisSTAR+PLUS MMP at any time. Enrollees Under passive enrollment, eligible individuals will receive sufficient notice be notified of plan selection and information on Passive Enrollment of their right to select among other contracted STAR+PLUS MMPs no fewer than 60 days prior to the effective date of enrollment, and will have the opportunity to opt opt-out up until the last day of the month prior to the effective date of Enrollmentenrollment, as further detailed in Appendix 7. Disenrollment from Demonstration Plans STAR+PLUS MMPs and enrollment from one STAR+PLUS MMP to a different STAR+PLUS MMP shall be allowed on a month-to-month basis any time during the year; however, coverage for these individuals will continue through the end of the month month. As mutually agreed upon, and as discussed further in which they disenrollAppendix 7 and the three-way contract, CMS and the State will utilize a third party entity, independent of the STAR+PLUS MMP, to facilitate all enrollment into the STAR+PLUS MMPs. STAR+PLUS MMP enrollments, including enrollment from one STAR+PLUS MMP to a different STAR+PLUS MMP, and opt-outs shall become effective on the same day for both Medicare and Medicaid. For those who lose Medicaid eligibility during the month, coverage and FFP will continue through the end of that month. CMS and the State will monitor Enrollments enrollments and Disenrollments disenrollments for both evaluation purposes and for compliance with applicable marketing and enrollment laws, regulations, and CMS policies, for the purpose purposes of identifying any inappropriate or illegal marketing practices. As part of this analysis, CMS and the State will monitor any unusual shifts in Enrollment enrollment by individuals identified for Passive Enrollment passive enrollment into a particular Demonstration Plan STAR+PLUS MMP to a Medicare Advantage plan either operated by the same parent organization or by another organization. If those shifts appear to be due to inappropriate or illegal marketing practices, CMS and the State may issue corrective actiondiscontinue further passive enrollment into a STAR+PLUS MMP. Any inappropriate or illegal marketing practices will be referred to appropriate agencies for investigation. As mutually agreed upon, CMS and the State will utilize an independent, third party entity to facilitate enrollment into the Demonstration Plans. Demonstration Plan enrollments, including transfers between Demonstration Plans, and Disenrollments shall become effective on the same day for both Medicare and Medicaid, as discussed above and in greater detail in Appendix 7. For those who lose Medicaid eligibility during the month, coverage and FFP will continue through the end of that month. See Appendix 7 for a more detailed discussion on timing of Enrollments and Disenrollments.

Enrollment and Disenrollment Processes. Eligible individuals will be notified of their right to select among contracted Demonstration Plans. No earlier than 90 days prior to October 1, 2013, eligible individuals will have the opportunity to opt into the Demonstration to begin receiving services on October 1, 2013. Beginning January 1, 2014 and on a monthly basis, if When no active choice has been made, enrollment for eligible beneficiaries (as described above in C.1.Section III.C.1) into a Demonstration Plan may be conducted using a seamless, Passive Enrollment seamless passive enrollment process that provides the opportunity for Enrollees to make a voluntary choice to enroll or disenroll from the Demonstration Plan CICO on a monthly basis. Enrollees Under passive enrollment, eligible individuals will receive sufficient notice be notified of plan selection and information on Passive Enrollment of their right to select among other contracted CICOs no fewer than 60 sixty (60) days prior to the effective date of enrollment, and will have the opportunity to opt out up until the last day of the month prior to the effective date of Enrollmentenrollment, as further detailed in Appendix 7. Disenrollment from Demonstration Plans CICOs and enrollment from one CICO to a different CICO shall be allowed on a month-month- to-month basis any time during the year; however, coverage for these individuals will continue through the end of the month in which they disenrollmonth. CMS and the State will monitor Enrollments enrollments and Disenrollments disenrollments for both evaluation purposes and for compliance with applicable marketing and enrollment laws, regulations and CMS policies, and for the purpose purposes of identifying any inappropriate or illegal marketing practices. As part of this analysis, CMS and the State will monitor any unusual shifts in Enrollment enrollment by individuals identified for Passive Enrollment into a particular Demonstration Plan CICO to a Medicare Advantage plan operated by the same parent organization. If those shifts appear to be due to inappropriate or illegal marketing practices, CMS and the State may issue corrective action. Any illegal marketing practices will be referred to appropriate agencies for investigation. As mutually agreed upon, and as discussed further in Appendix 7 and the Three-Way Contract, CMS and the State will utilize an independent, independent third party entity to entityto facilitate enrollment all enrollments into the Demonstration PlansCICOs. Demonstration Plan CICO enrollments, including transfers between Demonstration Plansenrollment from one CICO to a different CICO, and Disenrollments opt-outs shall become effective on the same day for both Medicare and Medicaid, as discussed above and in greater detail in Appendix 7Medicaid (the first day of the following month). For those who lose Medicaid eligibility during the month, coverage and FFP Federal financial participation will continue through the end of that month. See Appendix 7 for a more detailed discussion on timing of Enrollments and Disenrollments.

Enrollment and Disenrollment Processes. Eligible MMPs will begin to accept opt-in enrollments among those individuals will be notified of their right to select among contracted eligible for the ICI Demonstration Plans. No earlier no sooner than 90 days prior to October September 1, 2013, eligible individuals will have the opportunity to opt into the Demonstration to begin receiving services on October 2015 for coverage starting no sooner than December 1, 20132015. Beginning January 1, 2014 and Enrollment requests received through the 10th day of the month will take effect on a monthly basis, if the first day of the following calendar month. Enrollment requests received on the 11th day of the month or later will take effect on the first day of the second month after the request was submitted. When no active choice has been made, enrollment for eligible beneficiaries (as described above in C.1.Section III.C.1) into a Demonstration Plan may be conducted using a seamless, Passive Enrollment seamless passive enrollment process that provides the opportunity for Enrollees to make a voluntary choice to enroll or disenroll from the Demonstration Plan MMP on a monthly basis. Enrollees will receive sufficient notice of Individuals who are eligible for the Demonstration and information on Passive Enrollment no fewer than 60 days prior to who are enrolled in a plan for Medicaid benefits that is operated by the effective date of enrollmentsame parent organization as the MMP may be passively enrolled into that same plan under the ICI Demonstration, and will have with the opportunity to opt opt-out up until the last day of the month prior to the effective date of Enrollmentmonth, as further detailed in Appendix 7. Passive enrollments will commence no sooner than three months after the Demonstration begins. Under passive enrollment, eligible individuals will be notified of plan selection and of their right to select among other contracted MMPs (if applicable) no fewer than sixty (60) calendar days prior to the effective date of enrollment and will further have the opportunity to opt out of the Demonstration prior to the enrollment effective date, as detailed in Appendix 7. MMP enrollments, including enrollment from one MMP to a different MMP (if applicable), and opt outs, shall become effective on the same day for both Medicare and Medicaid. Disenrollment from Demonstration Plans MMPs and enrollment transfers from one MMP to a different MMP (if applicable), shall be allowed on a month-to-month basis any time during the year; however, coverage for these individuals will continue through the end of the month. All disenrollments will be effective the first day of the month after the choice is made. A disenrollment request, either voluntary or involuntary, is any action that terminates the Enrollee’s enrollment in which they disenrollthe ICI Demonstration, and includes, for example, the right to choose a Medicare Advantage Plan, to receive care through Medicare FFS and a Prescription Drug Plan (PDP), and to receive Medicaid services in accordance with the State’s approved State Plan, Section 1115(a) demonstration, and any approved waiver programs. As mutually agreed upon, and as discussed further in Appendix 7 and the Three-way Contract, CMS and the State will utilize an independent third party entity (Enrollment Counselor) to facilitate all enrollments into the MMPs and to provide unbiased enrollment counseling. CMS and the State will monitor Enrollments input received by the Ombudsman, Enrollment Counselor, and Disenrollments MMPs about the time between beneficiary enrollment requests and the effective date of enrollment. For those who lose Medicaid eligibility during the month, coverage and Federal financial participation will continue through the end of that month. CMS and the State will monitor enrollments and disenrollments for both evaluation purposes and for compliance with applicable marketing and enrollment laws, regulations, and CMS policies, for the purpose of identifying any inappropriate or illegal marketing practices. As part of this analysis, CMS and the State will monitor any unusual shifts in Enrollment enrollment by individuals identified for Passive Enrollment passive enrollment into a particular Demonstration Plan MMP to a Medicare Advantage plan operated by the same parent organization. If those shifts appear to be due to inappropriate or illegal marketing practices, CMS and the State may issue discontinue further passive enrollment into an MMP and implement corrective actionaction as appropriate. Any illegal marketing practices will be referred to appropriate agencies for investigation. As mutually agreed upon, CMS and the State will utilize also monitor any enrollments or disenrollments based on beneficiary health needs. Any MMPs under the same parent company as any Medicaid managed care plan for which the State has terminated or suspended enrollment and marketing activities related to the Medicaid managed care plan are not permitted to conduct enrollment or marketing activities related to the MMP until the Medicaid managed care plan deficiencies are resolved or may be disqualified from the Demonstration. Per January 13, 2014 guidance from CMS, any MMP will be ineligible to participate if it is under sanction as described in 42 CFR Part 422.750 and 42 CFR Part 423.750 at the time CMS and the State seek to execute the Three-way Contract. Also as articulated in the January 13, 2014 guidance from CMS, any MMP that is an independent, third party entity to facilitate enrollment into outlier in the Demonstration Plans. Demonstration Plan enrollments, including transfers between Demonstration Plans, and Disenrollments shall become effective CMS past performance analysis for Contract Year (CY) 2014 and/or has a Consistently Low Performing Icon on the same day for both Medicare and Medicaid, as discussed above and in greater detail in Appendix 7. For those who lose Medicaid eligibility during the month, coverage and FFP Plan Finder will continue through the end of that month. See Appendix 7 for be ineligible to receive passive enrollment until it is no longer considered by CMS to be a more detailed discussion past performance outlier and/or no longer has a Consistently Low Performing Icon on timing of Enrollments and DisenrollmentsMedicare Plan Finder.

Enrollment and Disenrollment Processes. The State will open enrollment to the eligible population no earlier than April 1, 2016. Eligible individuals will be notified of their right to select among contracted Demonstration Plans. No informed no earlier than 90 days prior to October March 1, 2013, eligible individuals will have 2016 of the opportunity to opt into the Demonstration to begin receiving services on October FIDA-IDD Plan for coverage starting no earlier than April 1, 20132016. Beginning January 1, 2014 and on a monthly basis, if There is no active choice has been made, passive enrollment for eligible beneficiaries (as described above in C.1.) into a Demonstration Plan may the FIDA-IDD Demonstration. All enrollments or disenrollments will be conducted using a seamless, Passive Enrollment process that provides effective the opportunity for Enrollees to make a voluntary choice to enroll or disenroll from the Demonstration Plan on a monthly basis. Enrollees will receive sufficient notice of and information on Passive Enrollment no fewer than 60 days prior to the effective date of enrollment, and will have the opportunity to opt out up until the last day first of the month prior to following the effective date of Enrollment, as further detailed request. Enrollment in Appendix 7. Disenrollment or disenrollment from Demonstration Plans the FIDA-IDD Plan shall be allowed on a month-to-month basis any time during the year; however, with coverage for these individuals will continue continuing through the end of the month in which they disenrollmonth. CMS and the State will monitor Enrollments enrollments, disenrollments, and Disenrollments Appeals and Grievances for both evaluation purposes and for compliance with applicable marketing and enrollment laws, regulations, and CMS policies for the purpose purposes of identifying any inappropriate or illegal enrollment, disenrollment, or marketing practices. As part of this analysisIf the FIDA-IDD Plan is under the same parent company as any Medicaid Managed Care plan for which the State has terminated or suspended enrollment and marketing activities related to the Medicaid Managed Care plan, the Plan is not permitted to conduct enrollment or marketing activities related to the FIDA-IDD Plan until the Medicaid Managed Care plan deficiencies are resolved or may be disqualified from the Demonstration. Similarly, per January 9, 2013 guidance from CMS, if the FIDA-IDD Plan is under the same parent company as any plan subject to Medicare enrollment and/or marketing sanction as described in 42 CFR Part 422.750 and 42 CFR Part 423.750 at the time CMS and the State will monitor any unusual shifts in Enrollment by individuals identified for Passive Enrollment into a particular Demonstration seek to execute the Three-way Contract, then the FIDA-IDD Plan to a Medicare Advantage plan operated by the same parent organization. If those shifts appear to be due to inappropriate or illegal marketing practices, CMS and the State may issue corrective action. Any illegal marketing practices will be referred ineligible to appropriate agencies for investigationparticipate. As mutually agreed upon, CMS and as discussed further in Appendix 7 and the Three-way Contract, CMS, and the State will utilize an independent, independent third party entity (Enrollment Broker) to facilitate enrollment all enrollments into the FIDA-IDD Plan. The Enrollment Broker will receive training on the FIDA-IDD Demonstration Plansand the population it serves and the call center representatives (CSRs) will be required to utilize FIDA-IDD-specific scripts. Demonstration FIDA-IDD Plan enrollments, including transfers between Demonstration Plans, and Disenrollments enrollments shall become effective on the same day for both Medicare and Medicaid, as discussed above Medicaid (the first day of the following month). CMS and the State may establish a later effective date for enrollment requests received late in greater detail in Appendix 7the calendar month. For those who lose Medicaid eligibility during the month, coverage and FFP Federal financial participation will continue through the end of that month. See Appendix 7 month unless the FIDA-IDD Plan chooses to allow a period of deemed continuous eligibility in which case it will continue in accordance with Exhibit 22 of the Medicare-Medicaid Plan Enrollment and Disenrollment Guidance, which discusses an option for a more detailed discussion on timing of Enrollments and Disenrollmentsdeemed continuous eligibility.